Licensed Care Manager Home First

PruittHealth; Albany (GA); On-site; USD 60,000 - 80,000; Full time

Job summary

PruittHealth in Albany, Georgia is seeking a Licensed Care Manager to coordinate admissions and services for home health care. The role involves screening referrals, conducting home assessments, and collaborating with medical professionals. Candidates must hold a valid LPN license and have at least five years of nursing experience.

This position requires strong organizational skills, effective communication, and the ability to travel using a personal vehicle for home visits. PruittHealth aims to provide quality care while adhering to regulatory requirements.

Qualifications

• Must have a current State License as a Licensed Practical Nurse.
• Minimum of five years of nursing experience, preferably in hospice or SOURCE care.
• Must have automobile insurance liability.

Responsibilities

• Screens appropriate referral and coordinates admission process.
• Completes all new admission paperwork and in-home assessments.
• Participates in team meetings with the Medical Director.

Skills

Licensed Practical Nurse License

Valid driver’s license

Basic Cardiopulmonary Resuscitation Certification

Nursing experience

Education

Graduate of a state approved accredited nursing school

Job description

Job Description - Licensed Care Manager Home First (2607535)

Licensed Care Manager Home First - 2607535

Description

POSITION SUMMARY

Screens appropriate referral and coordinates admission process. Coordinates services with providers, billing reconciliation. Provides outreach to community referral sources.

ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES

• Markets their area for awareness of SOURCE and PRN meetings with new PCPs.
• Completes all new admission paperwork for signed forms and in-home assessments.
• Participates in team meetings with Medical Director each week and presents all new admits, annual assessments, hospitalizations, Home Health admits and discharges, repeat variances, People with potential for discharge and actual discharges and situations threatening someone’s health or functional status.
• Completes quarterly homes visits and quarterly PCP visits with all requirements for each completed.
• Completes variances at any given time when a care path goal is not met. Must list the variance plan of actions and must have follow up to resolution or a repeat variance with a new plan outlined. Tracks all hospital/ER visits by completing paperwork, requesting records and communicating with hospitals.
• Coordinates with outpatient therapy centers, home health agencies, healthcare centers (if short term), and rehab by working with their staff and completing skilled care track form. Makes PRN contacts and home visits if needed to assess member needs. Reevaluates member needs for service, level of service and evaluates service effectiveness.
• Uses own vehicle for travel. Completes mileage and time sheets for reimbursement. Arranges transportation as required. Is available for internal record audits as requested. Completes annual reassessments in member’s homes. Reviews medicine for appropriateness.
• Attends trainings when required. Trains new hires as needed. Is available for on‑call rotation as designated by CMS referrals. Communicates with regulatory and DFACS agencies for APS and CPS referrals.

Qualifications

TRAINING, SKILLS, AND EXPERIENCE REQUIREMENTS

• Current State License as a Licensed Practical Nurse, LPN
• Must have a valid driver’s license and automobile insurance liability
• Graduate of a state approved accredited nursing school
• Certified in Basic Cardiopulmonary Resuscitation
• Minimum of five (5) years of nursing experience. Hospice or SOURCE care preferred.

As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.

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